Senate Majority Leader John Thune (R-South Dakota), from Left, Sen. John Barrasso (R-Wyoming) and Senator Mike Crapo (R-Idaho) Exit The West Wing of the White House on June 4, 2025. The Senate Has Begun Deliberations about President Donald Trump's Massive “Big Beautiful Bill” That Narrowic Passed The House on Mayan's house Concerns about its cost as well as cuts to medicaid and clean energy tax credits.
Photographer: Eric Lee/Bloomberg via Getty images
Republicans on Capitol Hill weigh legislation that will reduce an estimated billions of dollars in financing for the Affordable Care Act and ensures that millions of people lose their health insurance. Many of their voters may not be happy with it, Polling suggests.
Almost half, 45%of adults registered for a health plan offered through the ACA insurance market, they identified as Republicans, according to a new survey by KFF, a non -party -related group conducting health policy research.
(More than three-quarters of those Republican ACA users identify as “Maga” Republicans. They represent Maga Republicans 31% of the ACA buyers in general.)
In the meantime, 35% of the Democrats receive their health insurance through the ACA, it turned out KFF.
Republicans in the House of Representatives adopted a tax and expenditure package for MultiTrillion dollar in May and an estimated $ 900 billion reduced from health programs such as Medicaid and the ACA, which is also known as Obamacare.
Senate Republicans are now considering the measure, which contains many of the domestic policy priorities of President Donald Trump. Republicans try to pass the Megabill against the fourth July.
If the GOP determines the legislation as written and does not expand tax credits that will lose the monthly ACA health premiums in the month, about 15 million people would lose health insurance, according to the Congressional Budget Office.
“A large constituency of Republicans who use the programs may be confronted with cuts,” says Audrey Kearney, a senior survey analyst for the research program of KFF's public opinion and research research.
The survey was carried out from 5 to 26 May under a national representative sample of 2,539 American adults, IRecording 247 who bought their own health coverage.
Republicans are more often independent
Health plans that are offered through the ACA exchanges are mainly for Americans who have no coverage through their job or through a public program such as Medicare or Medicaid, experts said.
In this coverage gap and independent Americans, the self-employed person tends to lean to the right, a likely reason why more Republicans seem to be registered in ACA health plans towards Democrats, Kearney said.
“Republicans are more often entrepreneurs than Democrats,” said a paper from 2023 published by researchers at Columbia University, the University of California San Diego and the University of Alberta.
About 5.5% of Republicans become entrepreneurs, while that applies to 3.7% of the Democrats, they found.
Many red -leaning states do not expand Medicaid
The Affordable Care Act also expanded Medicaid cover to more households.
10 States did not take over the expansion: Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin and Wyoming. All voted for Trump in the presidential elections of 2024.
Republicans are “more likely to live in non-best states,” wrote John Graves, a professor of health policy and medicine at Vanderbilt University School of Medicine, in an e-mail.
More from personal finances:
The labor market is now 'waste'
What 'revenge tax' in Trump can mean for investors
When it comes to saving, Gen Z asks: “What is the point?”
This is why this is important for ACA registration: “In the non-expansion states, a broader population is eligible for tax credits,” said Carolyn McClanahan, a doctor and certified financial planner based in Jacksonville, Florida. She is a member of the CNBC Financial Advisor Council.
In states that have expanded Medicaid, almost all adults with an income up to 138% of the federal poverty line (around $ 22,000 for a household of one person in 2025) are eligible for Medicaid.
In states that have not expanded Medicaid, a broader population is eligible for subsidies to make ACA health plans cheaper, said Graves. The subsidized exchanges are available for people between 100% and 138% of the federal poverty line, among other things.
“Given the heavy subsidies in that income range and a large amount of otherwise uninsured people, that would suggest that more Gop-identifying people with low incomes would go the (subsidized) exchange route,” Graves wrote.
The Affordable Care Act has been taxed by the Republicans since the Passage during the anniversary of President Barack Obama. Provisions within the Act-such as creating the ACA marketplaces, coverage for people with existing circumstances and the possibility of staying up to 26 years on the health plan of the parents a broad attraction, said Kff's Kearney.
From 2023, almost 1 in 7 inhabitants of the US had registered for an ACA market plate plan at one point since 2014, the year in which states rolled out market plans, according to a report from 2024 by the US Department of Treasury.
“Our poll that goes back for years has shown that when you ask about the favorability of the ACA itself, Republicans consider it pretty unfavorable,” she said. “However, the actual provisions in this are very popular and are popular with Republicans.”
